Sign Up Form – Superior Car Wash

Please fill in the form below. To complete your membership you need to show the email you receive at the carwash, provide your credit card information and get a bar code for your vehicle.

Membership Information

Name (full):

Address:

City:

Postal Code:

Phone:

Email:

Vehicle Information:

Year:

Make:

Model:

Plate #:

Membership Information

Select Membership:

Select Billing Preference:

I have read and agree to the terms and conditions of Superior Carwash & Express Detailing.